On a lightly floured surface, roll out your room temperature dough until it is pretty thin and is in your desired pizza shape.
Place the pizza dough on an oiled baking sheet or pizza stone.
Heat the olive oil in a skillet on medium heat and cook the ground Italian chicken sausage (casings removed) until the meat is lightly browned.
Spread the butternut squash purée evenly on top of the pizza dough. Then, top the pizza with the caramelized onions, Mozzarella and Italian blend cheese, apple slices, Italian sausage, and fresh sage leaves.
Place the pizza in the oven and bake for about 10-15 minutes or until the crust is golden brown and the cheese is melted.
While the pizza is cooking, make the maple glazed pecans.
When the pizza is done cooking, remove from the oven, top with the maple glazed pecans. Serve and enjoy!